Whitlock, Stephanie Nicole

Whitlock, Stephanie Nicole is an individual health care provider with primary practice located at 300 W Oak St , Carbondale IL 62901-1400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Whitlock, Stephanie Nicole can be contacted via phone (618) 536-6621.

Contact Information

Primary practice address
300 W Oak St Carbondale IL 62901-1400
Phone: (618) 536-6621
Fax: (618) 453-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209019467 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019467 Illinois

Profile Details

NPI number 1588222608
LBN Legal business name Whitlock, Stephanie Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2019
Last updated Oct 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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